Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mina Kim

Individual provider Clinical Social Worker · NPI 1962768986

Mina Kim is a Clinical Social Worker in Anaheim, California. Qualified in 2016, 10 years ago. Practices with Kcs, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

451 W Lincoln Ave Ste 100
Anaheim, CA 92805-2912
Phone: (714) 503-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 92575 (CA)

Record details

NPI number1962768986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2012
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kcs, Inc. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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